Organization
CLARKSTON OAKS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE KATHLEEN LEZOTTE (OWNER)
(248) 623-4600
Entity
Organization
Contact information
Practice address
6100 DIXIE HWY, #A, CLARKSTON, MI 48346-3496
(248) 623-4600
(248) 623-6365
Mailing address
6100 DIXIE HWY, #A, CLARKSTON, MI 48346-3496
(248) 623-4600
(248) 623-6365
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017712
MI
Other
Enumeration date
12/05/2006
Last updated
08/25/2016
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